Individual
ANDREW EDWARD KOSIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1017 S WESTYN LOOP, FOREST, VA 24551-5078
(631) 495-9968
Mailing address
1017 S WESTYN LOOP, FOREST, VA 24551-5078
(631) 495-9968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
015470
NY
225100000X
Physical Therapist
Primary
2305214907
VA
Other
Enumeration date
03/02/2007
Last updated
08/17/2024
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